<html>
<head>
</head>
<body>
<form name="userform" method="post" action="addUser">
<br><br><br>
<table align="center" width="400px" style="background-color:#EDF6EA;border:2 solid #4682B4;">
<tr><td colspan=2 style="font-weight:bold;" align="center"><h2>Registrar Usuario</h2></td></tr>

	<tr>
		<td style="font-weight:bold;">Nombre</td>
		<td><input type="text" name="nombre" value=""></td>
	</tr>
	<tr>
		<td style="font-weight:bold;">Apellido Paterno</td>
		<td><input type="text" name="ape_paterno" value=""></td>
	</tr>
        
	<tr>
		<td style="font-weight:bold;">Apellido Materno</td>
		<td><input type="text" name="ape_materno" value=""></td>
	</tr>
        
	<tr>
		<td style="font-weight:bold;">Cedula de Identidad</td>
		<td><input type="text" name="ci" value=""></td>
	</tr>
        
	<tr>
		<td style="font-weight:bold;">Fecha de Nacimiento</td>
		<td><input type="select" name="fecha_nacimiento" value=""></td>
	</tr>
        
	<tr>
		<td style="font-weight:bold;">Sexo</td>
                <td>M<input type="checkbox" name="sexo" value=""><td>F<input type="checkbox" name="sexo" value=""></td></td>
	</tr>
	<tr>
		<td style="font-weight:bold;">Email</td>
		<td><input type="text"  name="contact_email" rows=5 cols=25></td>
	</tr>
        <tr>
		<td style="font-weight:bold;">Telefono/Celular</td>
		<td><input type="text"  name="telefono" rows=5 cols=25></td>
	</tr>
        
	<tr>
		<td style="font-weight:bold;">Password</td>
		<td><input type="password" name="password" value=""></td>
	</tr>
	
	<tr>
		<td></td>
		<td><input type="submit" name="Submit" value="Guardar" style="background-color:#4682B4;font-weight:bold;color:#ffffff;"></td>
	</tr>
	<tr><td colspan=2 align="center" height="10px"></td></tr>
</table>
</form>


</body>
</html>


